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Home My WebLink About2826 ANDOVER AVE; ; CB131291; Permit05-21-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB131291 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2826 ANDOVER AV CBAD PME 1674801905 Lot# ENNS RES- REPLACE FAU UNIT SAME LOCATION- IN ATTIC Status ISSUED Applied Entered By Plan Approved' Issued Inspect Area 05/21/2013 RMA 05/21/2013 05/21/2013 Applicant MOOR CO SERICE INC Owner. RIGGLE PAMALA C TRUST 10-09-91 1531 S COAST HWY 92054 (760) 722-1541 1142 NEVADA AVE SAN JOSE CA 95125 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $0 00 $0 00 $154 00 $0 00 TOTAL PERMIT FEES $154 00 Total Fees $154 00 Total Payments To Date $154 00 Balance Due: $0.00 Inspector FINAL AP Date ^ APPROVAL Clearance NOTICE Please take NOFICE jtSat approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sen/ice fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired THEFOLLOWINGAPPROVALSREQUIREDPRIORTOPERMITISSUANCE: DPLANNING nENGINEERING • BUILDING DFIRE DHEALTH • HAZMAT/APCD Plan Check No. I3 j f ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax- 760-602-8558 email: buldling@carlsbadca.gov w/w/w/.carlsbadca gov Est. Value Plan Ck. Deposit \IITJ* ADM ' SWPP JOB ADDRESS ^ ILOT**"' I PHASE # ' 'I OOF UNITS rtSDRi SUITE#/SPACE»/UNIT# CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NOD AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NO • APPLICANT NAME (Primary Contact) APPUCANT NAME (Secondary Contact) PHONE , ADDRESS STATE CITY STATE ZIP NE * £M ^ PHONE FAX Mff/p^OJ in? PROPERTY OWNER NAM CONTRACTOR BUS. NAME ADDRESS ^STATE ADORES; CITY ^ ^ - V , gy^^^ 2.\P^ ^ PHONE - ^ , F' EMAIL ^^"^ EMAIL ^/j n?o ARCH/DESIGNER NAME & ADDRESS CITY BUS LICj 1^ (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issi/an/e, also requires tne applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with SectronFOOO of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) pup Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued O I have and will maintain workers; conwensatioiV as required by Section 3700 of the Labor Code, for the performance of the vmA toviteh this perrnitis issued My workers' compensation insurance corner and policy number are Insurance Co rr\f^tifO . Policy No/ J" v/^ J/SLS^J-J Expiration Datet ampensation insurance carr This section need not be completed if the permit is for one hundred dollars ($100) or less O Certificate of Exemption I certify that in the performance of the wori( for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING' Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dajpages^ provided for in Secbpn VW^ the Labor code, interest and attorney's fees CONTRACTOR SIGNATURg^^^^/Vti^^^^Xyy^ aAGENT DATE / herefty affirm that I am exempt from Contractor's License Law for the following reason • I, as owner of the property cr my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale) • I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) • I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement • Yes • No 2 I (have / have not) signed an application for a building pemiit for the proposed work 3 I have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) ^gfpROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazanlous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account AcP • Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP • Yes • No Is the facility to be constmcted vmthin 1,000 feet of the outer boundary of a school site'' • Yes • No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I I certfy that I have read the application and state that the above Infonnation is conect and that the infonnation ontheplansis accurate. I agree to comply with all City ordinances and State laws relating ID building constmction. I hereby authonze representative of the City cf Carisbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAFtMLESS THE CITY OF CAFISBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA penrat is required fbr excavations over 5'0' deep and demolition or constmction of stmctures over 3 stones in height EXPIRATION Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or vrort< authonzed by such pemnit is not commenced within 180 days from the date of such pemiit or if the building or work authonzed by such pennit is suspended or abandoned at any time after the mik is commenced for a penod of 180 days (Section 106 4 4 Unifbmi Building Code) vfiTAPPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. ERTIFICATE CCUPANCY iaf Projects Only; Fax (760) 602-8560, Email www buildinq(5)carlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP CITY ZIP Carlsbad CA PHONE EMAIL OCCUPANT S BUS LIC No DELIVERY OPTIONS • PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) a MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • MAIL / FAX TO OTHER: • ASSOCIATED CB#- • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION >gf APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB131291 Type: PME ENNS RES-REPLACE FAU UNIT SAME LOCATION- IN ATTIC Date Inspection Item jrispector Act Comments 05/22/2013 43 AirCond/Furnace Set PY AP 05/22/2013 49 Final Mechanical PY AP Tuesday, September 17, 2013 Page 1 of 1